The lateral retrocanthal transorbital endoscopic approach to the middle fossa: cadaveric stepwise approach and review of quantitative cadaveric data
CONCLUSIONS: The authors' cadaveric study delineates the surgical anatomy and technique of the LRCTEA, providing a stepwise approach for its implementation. As these approaches continue to evolve, their development and refinement will play an important role in expanding the surgical options available to neurosurgeons, ultimately improving outcomes for patients with complex skull base pathologies. The LRCTEA presents a promising advancement in skull base surgery, particularly for accessing challenging middle fossa regions. However, surgeons must remain vigilant to potential complications, including transient diplopia, orbit...
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Spyridon Komaitis Georgios P Skandalakis Evangelos Drosos Eleftherios Neromyliotis Eirini Charalampopoulou Lykourgos Anastasopoulos Georgios Zenonos George Stranjalis Aristotelis Kalyvas Christos Koutsarnakis Source Type: research
A quantitative comparative surgical analysis of the endoscopic transorbital approach and frontotemporal-orbitozygomatic approach for extradural exposure of the cavernous sinus
CONCLUSIONS: This is the first study to quantitatively identify the relative advantages of the FTOZ and transorbital approaches at the target region following requisite surgical maneuvers. Understanding these data will aid in selecting an optimal approach and maneuver set based on target lesion size and location.PMID:38560928 | DOI:10.3171/2024.1.FOCUS23860 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Alexander I Evins I ñigo L Sistiaga Andrei H Quispe-Flores Marinelle M Castro Travis J Atchley Silvia P érez-Fernández I ñigo Pomposo Philip E Stieg Antonio Bernardo Source Type: research
Transpalpebral mini-orbitozygomatic approach for nonvascular skull base lesions: a single neurosurgeon's experience
CONCLUSIONS: The MOZ approach is safe and durable. The transpalpebral incision provides better cosmesis and functional outcomes than those of standard anterolateral approaches to the skull base. Careful consideration of the limits of the approach is paramount to appropriate application on a case-by-case basis. Further quantitative anatomical studies can help to define and compare the utility of the approach to open cranio-orbital and endoscopic transorbital approaches.PMID:38560929 | DOI:10.3171/2024.1.FOCUS23875 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Samon Tavakoli Stephanie A Armstrong Christina Feller Sang Hun Hong Nathan T Zwagerman Source Type: research
Transorbital neuroendoscopic surgery for treatment of sphenoid wing meningiomas extending to the cavernous sinus: clinical implications and a technical illustration
CONCLUSIONS: Total resection of SWMs invading the cavernous sinus and orbit is associated with substantial risks, particularly cranial nerve deficits. TONES offers a minimally invasive alternative, reducing morbidity compared with transcranial approaches, and represents a significant advancement in the surgical management of SWMs, especially those extending into the cavernous sinus and orbit. The approach provides a safe, effective, and patient-centric approach, prioritizing subtotal resection to minimize neurological deficits while preparing patients for adjunctive radiosurgery. This study positions TONES as a transformat...
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Gardashkhan Kar ımzada Demet Evleksiz Kar ımzada G ökberk Erol Beste G ülsuna Pelin Kuzucu Abuzer G üngör Ahmet Murat Kutlay Muammer Melih Şahin Emrah Çeltikçi Source Type: research
The military assignations of Thierry de Martel (1875-1940), French neurosurgery pioneer, during World War I
Neurosurg Focus. 2024 Apr;56(4):E14. doi: 10.3171/2024.2.FOCUS2445.NO ABSTRACTPMID:38560933 | DOI:10.3171/2024.2.FOCUS2445 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Johan Pallud Angela Elia Alexandre Roux Marc Zanello Source Type: research
Anterolateral keyhole transorbital routes to the skull base: a comparative anatomical study
CONCLUSIONS: All the aforementioned approaches use the sphenoid wing as skull base corridor from a specific orientation point; hence these are designated as transwing approaches. Their peculiarities mandate careful case selection for the effective and safe completion of the surgical goals.PMID:38560934 | DOI:10.3171/2024.2.FOCUS23877 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Maria Karampouga Anna K Terrarosa Bhuvic Patel Kyle Affolter Eric W Wang Garret W Choby Roxana Fu Gabrielle R Bonhomme S Tonya Stefko Michael M McDowell Carl H Snyderman Paul A Gardner Georgios A Zenonos Source Type: research
Endoscopic transorbital approach in children: surgical technique and early results
CONCLUSIONS: In select cases, the ETOA can be considered a minimally invasive alternative for conventional skull base approaches in the armamentarium of pediatric skull base surgery. Further investigation and the accumulation of experience are warranted in the future to enhance the efficacy and applicability of the ETOA in pediatric patients.PMID:38560935 | DOI:10.3171/2024.1.FOCUS23858 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Chiman Jeon Kyuha Chong Hyung Jin Shin Doo-Sik Kong Source Type: research
Improved optic nerve visualization and treatment planning through a dedicated optic nerve MRI protocol
CONCLUSIONS: The authors present a dedicated optic nerve MRI protocol that is simple to use and affords improved cross-sectional and longitudinal visualization of the nerve, surrounding CSF, and pathology. This improved visualization enhances radiological evaluation and treatment planning for optic nerve lesions.PMID:38560937 | DOI:10.3171/2024.1.FOCUS23715 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Kyle C Wu Jeffrey P Guenette Raymond Y Huang Ossama Al-Mefty Ian F Dunn Wenya Linda Bi Source Type: research
Introduction. Navigating frontiers to and through the orbit: cranio-orbital and orbitocranial approaches unveiled
Neurosurg Focus. 2024 Apr;56(4):E1. doi: 10.3171/2024.2.FOCUS23734.NO ABSTRACTPMID:38560939 | DOI:10.3171/2024.2.FOCUS23734 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Christian Matula Georgios Zenonos Nickalus Khan A Samy Youssef Kris Moe Maria Peris Celda Source Type: research
Clinical outcomes and complications of eyelid versus eyebrow approaches to supraorbital craniotomy: systematic review and indirect meta-analysis
CONCLUSIONS: This is the first meta-analysis that quantitatively compared complications of eyebrow versus eyelid approaches to supraorbital craniotomy. This study found similar overall complication rates but higher rates of selected complication domains in the eyelid group. The literature is limited by a high degree of variability in the reported outcomes.PMID:38560941 | DOI:10.3171/2024.1.FOCUS23878 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Gnel Pivazyan Carlos Aguilera Jiaqi Liu Ziam Khan Georgia M Wong Ehsan Dowlati Kelsi Chesney Jeffrey C Mai Amjad Anaizi Samir Sur Source Type: research
Open-door extended endoscopic transorbital technique to the paramedian anterior and middle cranial fossae: technical notes, anatomomorphometric quantitative analysis, and illustrative case
CONCLUSIONS: The extended open-door technique may be specifically suited for selected patients affected by paramedian anterior and middle fossae lesions, with prevalent anteromedial extension toward the anterior clinoid, the foremost compartment of the cavernous sinus and FR and not completely controlled with the pure endoscopic transorbital approach.PMID:38560942 | DOI:10.3171/2024.1.FOCUS23838 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Sergio Corvino Amin Kassam Amedeo Piazza Francesco Corrivetti Toma Spiriev Antonio Colamaria Giovanni Cirrottola Carlo Cavaliere Felice Esposito Luigi Maria Cavallo Giorgio Iaconetta Matteo de Notaris Source Type: research
Endoscopic precaruncular medial transorbital and endonasal multiport approaches to the contralateral skull base: a clinicoanatomical study
CONCLUSIONS: Multiport EEA/cMTO to the contralateral LRSS offers the advantage of preserving the pterygopalatine fossa contents and the vidian nerve, which are frequently sacrificed during a transpterygoid approach. This approach also offers superior visualization and better instrument maneuverability compared with EEA/CTM for targeting the petroclival region and retrocarotid CCS.PMID:38560943 | DOI:10.3171/2024.1.FOCUS23863 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Govind S Bhuskute Jaskaran Singh Gosal Mohammad Bilal Alsavaf Sunil Manjila Kyle C Wu Mohammed Alwabili Moataz D Abouammo Ravi Sankar Manogaran Darlene E Lubbe Ricardo L Carrau Daniel M Prevedello Source Type: research
Endoscopic transorbital approach bone pillars: a comprehensive stepwise anatomical appraisal
CONCLUSIONS: Identification of consistent bone references after the skin incision has been made and the working space is determined allows a comprehensive understanding of the anatomy of the approach in order to safely and effectively perform transorbital endoscopic surgery in the skull base.PMID:38560944 | DOI:10.3171/2024.1.FOCUS23846 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Marta Codes Alejandra Mosteiro Roberto Tafuto Lorena Gomez Jessica Matas Isam Alobid Mauricio Lopez Alberto Prats-Galino Joaquim Ense ñat Alberto Di Somma Source Type: research
Letter to the Editor. Is spinal surgery appropriate for topical tranexamic acid?
Neurosurg Focus. 2024 Apr;56(4):E15. doi: 10.3171/2023.12.FOCUS23885.NO ABSTRACTPMID:38560946 | DOI:10.3171/2023.12.FOCUS23885 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Dong Wang Man-Hai Gao Rong Li Source Type: research
360 ° around the orbit: key surgical anatomy of the microsurgical and endoscopic cranio-orbital and orbitocranial approaches
CONCLUSIONS: This study outlines the essential surgical steps for major cranio-orbital and orbitocranial approaches. Endoscopic endonasal approaches offer direct medial access, potentially providing bilateral exposure to optic canals. ETOAs serve as both orbital access and as a corridor to surrounding regions. Cranio-orbital approaches follow a lateral-to-medial, superior-to-inferior trajectory, progressively allowing removal of protective bony structures for proportional orbit access.PMID:38560949 | DOI:10.3171/2024.1.FOCUS23866 (Source: Neurosurgical Focus)
Source: Neurosurgical Focus - April 1, 2024 Category: Neurosurgery Authors: Edoardo Agosti A Yohan Alexander Pedro Plou Luciano C P C Leonel Alessandro De Bonis Megan M J Bauman Ainhoa Garc ía-Lliberós Amedeo Piazza Fabio Torregrossa Carlos D Pinheiro Neto Maria Peris Celda Source Type: research
